Combinations of Packaged Services of Different Types That are

10.4.1 - Combinations of Packaged Services of Different Types That are Furnished on the Same Claim (Rev. 3685, Issued: 12-22-16, Effective: 01-01-17, Implementation: 01-03-17) Where a claim contains multiple codes that are STV-packaged codes and does not contain a procedure with status indicator S, T, or V on the same claim, separate payment is made for the STV-packaged code that is assigned to the highest paid APC and payment for the other STV-packaged codes on the claim is packaged into the payment for the highest paid STV-packaged code. Where a claim contains multiple codes that are T-packaged codes and does not contain a procedure with status indicator T on the same claim, separate payment is made for the T- packaged code assigned to the highest paid APC and payment for the other T-packaged codes on the claim is packaged into the payment for the highest paid T-packaged code. Where a claim contains a combination of STV-packaged and T-packaged codes and does not contain a procedure with status indicator S, T, or V, separate payment is made for the STV-packaged or T-packaged code with the highest payment rate and payment for the other STV-packaged and T-packaged codes is packaged into the payment for the highest paid STV-packaged or T-packaged procedure. Where a claim contains a combination of STV-packaged and T-packaged codes and codes that could be paid through composite APCs, payment for the STV-packaged and/or T-packaged services is packaged into separate payment for the composite APC.